Individual
CHRISTINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3355
Mailing address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3355
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00701200
NJ
363LG0600X
Gerontology Nurse Practitioner
MK4283696
NJ
Other
Enumeration date
01/20/2017
Last updated
12/15/2021
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